Posts Tagged ‘Nursing Care’

What does nursing care mean to us? Caring for wellbeing?

  • Overview
  • Care Management Plan issued by the certified Registered Nurse
  • Observe daily medication
  • Regular control of blood sugar and blood pressure
  • Continuing care
  • Wound care
  • Intermediate care
  • Palliative care

At ProMedCare with nursing care, we offer several services to allow patients to be cared for within their own home by certified Enrolled or Registered Nurses.

HOSPITAL DISCHARGE SERVICE

A hospital discharge service is necessary to make the transition from hospital to home or a rehabilitation centre easier and less stressful.

The discharge plan can be compiled by a social worker or nurse once the patient has received authorisation from the physician.

Discharge planning will include the following:

  • Qualified personnel will have to evaluate the patient;
  • A discussion should be held with the patient or representative;
  • The return home or the transfer to another facility should be planned;
  • Must be ascertained whether the patient required a caregiver or any other support;
  • Homecare agencies or appropriate support agencies need to receive referrals;
  • Follow-up appointments or tests need to be arranged.

A discussion should take place to determine the specific needs of the patient.  It should include detailed information of the patient’s medication prior to hospitalization, as well as new medication.  The patient’s diet should be discussed e.g. the patient may be diabetic or suffering from high cholesterol.  The appropriate diet should then be planned.  One should also determine whether equipment such as walking aid, wheelchair or equipment is needed.  Decisions also have to be made regarding me3al preparation, chores and means of transport from the hospital.

ALZHEIMER DISEASE (AD)

AD is a disease of the brain where the nerve cells are destroyed.  Caring for someone with AD can be very challenging.  The challenges you face vary from day to day.  There are 3 stages of AD:  the mild stage; the moderate stage and the late stage.

Alzheimer’s affects different people differently and one has to learn coping mechanisms to deal with the challenges you will face while caring for a person with AD.

During the first stage there are small changes in the person’s personality as well as a little memory loss. They do not remember the names of people.  Solving mathematical problems may prove to be difficult and they are unable to balance a cheque book for instance.  They experience difficulty in planning and organizing.  Compiling a grocery list and finding the items on shelves in a store will be challenging for them.

During stage two, memory worsens and confusion occurs.  People are unable to organise, plan and follow instructions.  They experience problems getting dressed and become incontinent.  They may have trouble recognizing family and friends.  At this stage they begin to wander.  They are unable to remember the date and year.  More serious personality changes will be observed – they make threats, accuse people of stealing, kick, scream, bite or grab things.

In stage three the person with AD passes away.  They require round the clock care with all their basic daily needs.  They will need help sitting and walking.  Sometimes they will be unable to talk.  They will find it difficult to swallow and as a result refuse to eat.  The carer must remember that it is the disease causing the personality changes and not the person with AD.

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